| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.68 | $22.49 | $51.39 | |
Aetna
| Professional | $18.68 | $18.68 | $23.54 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
Regence BlueShield
| Facility | $25.09 | $29.99 | $34.93 | |
United
| Professional | $20.88 | $23.59 | $25.06 |